Biliopancreatic diversion with transitory gastric restriction and duodenal bulb preservation: 88 patients since 1992.

Abstract:

BACKGROUND:Over 10 years, 88 patients underwent biliopancreatic diversion with transitory gastric restriction (BPD-TGR) as a first choice operation or after gastric restrictive procedures. METHODS:From 1992 to 1999, BPD-TGR was performed on 71 patients as a first choice operation (Group 1 - BMI 41.9 +/- 6.5). The TGR was achieved by a polydioxanone (PDS) band. The duodenal bulb was maintained to 5 cm distal to the pylorus, constructing an end-to-side antecolic isoperistaltic duodeno-ileal anastomosis. Since 1993, a further 17 patients underwent BPD-TGR as a correction for restrictive procedures (Group 2 - BMI 37.4, range 27.2-61.0). RESULTS:Results in weight loss in Group 1 were similar to those in our previous classical BPD. Percent excess weight loss (%EWL) was 68.0 +/- 18.4, 75.9 +/- 12.3, and 75.4 +/- 12.0 at 1,5 and 10 years respectively. No patient had severe dysproteinemia (only 3% of patients had hypoalbuminemia of 3.0-3.4 g/dl). There was no case of diarrhea or halitosis. Anastomotic ulcers occurred in 2% of the patients. In Group 2, the patients had weight loss already present from the first operation, which continued after BPD-TGR with great variability from patient to patient. %EWL was 35.1 (range 0 to 72.5) and 35.2 (range 18.4 to 43.2) at 1 and 5 years. CONCLUSIONS:BPD-TGR appears to be an effective operation with few complications and also a satisfactory correction for failed gastric restrictive procedures, or even a sequential operation in the super-obese.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Vassallo C,Negri L,Rovati P,Della Valle A,Tata S,Berbiglia G,Pessina A,Ramaioli F,Dono C,Fariseo M

doi

10.1381/0960892041590836

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

773-6

issue

6

eissn

0960-8923

issn

1708-0428

journal_volume

14

pub_type

杂志文章
  • Obese Adolescents Report Better Health-Related Quality of Life than Obese Young Adults.

    abstract:BACKGROUND:Impairment in health-related quality of life (HRQOL) is described as a major concern for severely obese adolescents seeking intentional weight loss. We aimed to compare HRQOL in obese adolescents seeking weight loss with body mass index (BMI)-matched younger adults and community norms. METHODS:Eighty-one ad...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1677-8

    authors: Dixon JB,Rice TL,Lambert EA,Lambert GW

    更新日期:2015-11-01 00:00:00

  • Skin Changes Due to Massive Weight Loss: Histological Changes and the Causes of the Limited Results of Contouring Surgeries.

    abstract:PURPOSE:Outcomes of body contouring surgeries in patients who previously had obesity are limited because of the loss of skin quality. This study aimed to evaluate the morphometric characteristics of collagen and elastic fibers of the skin in the abdominal epigastric region of patients who had massive weight loss follow...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05100-3

    authors: Rocha RI,Junior WC,Modolin MLA,Takahashi GG,Caldini ETEG,Gemperli R

    更新日期:2020-11-04 00:00:00

  • Protein-Calorie Malnutrition Requiring Revisional Surgery after One-Anastomosis-Mini-Gastric Bypass (OAGB-MGB): Case Series from the Tehran Obesity Treatment Study (TOTS).

    abstract:INTRODUCTION:One-anastomosis-mini-gastric bypass (OAGB-MGB) is the second most popular gastric bypass procedure with remarkable weight loss results and comorbidity resolution rates. However, some concerns remain regarding its postoperative complications, including protein-calorie malnutrition (PCM). We hereby report ou...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03741-7

    authors: Khalaj A,Kalantar Motamedi MA,Mousapour P,Valizadeh M,Barzin M

    更新日期:2019-06-01 00:00:00

  • Preoperative Beta Cell Function Is Predictive of Diabetes Remission After Bariatric Surgery.

    abstract:BACKGROUND:Bariatric surgery can improve glucose metabolism in obese patients with diabetes, but the factors that can predict diabetes remission are still under discussion. The present study aims to examine the impact of preoperative beta cell function on diabetes remission following surgery. MATERIALS AND METHODS:We ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2300-3

    authors: Souteiro P,Belo S,Neves JS,Magalhães D,Silva RB,Oliveira SC,Costa MM,Saavedra A,Oliveira J,Cunha F,Lau E,Esteves C,Freitas P,Varela A,Queirós J,Carvalho D

    更新日期:2017-02-01 00:00:00

  • YKL-40 is elevated in morbidly obese patients and declines after weight loss.

    abstract:BACKGROUND:Patients suffering from morbid obesity (MO) have an increased cardiovascular morbidity and mortality. This increased cardiovascular burden is believed to be caused by a sub-inflammatory state through an increased secretion of monocyte chemoattractant protein-1 (MCP-1) by the adipose tissue, resulting in insu...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-9917-4

    authors: Hempen M,Kopp HP,Elhenicky M,Höbaus C,Brix JM,Koppensteiner R,Schernthaner G,Schernthaner GH

    更新日期:2009-11-01 00:00:00

  • Subcutaneous placement of lap band port without fascial fixation provides safe and durable access.

    abstract:BACKGROUND:Laparoscopic adjustable gastric band access port has been routinely sutured to the anterior fascia of the abdominal wall using nonabsorbable sutures. We present our technique demonstrating that nonfascial fixation with using a mesh allows for a safe and durable placement of the port in the superficial subcut...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1286-y

    authors: Akkary E,Olgers F

    更新日期:2014-11-01 00:00:00

  • Incidental Jejunal Lesion Necessitating Intraoperative Change of Plan During Bariatric Surgery: a Video Case Report.

    abstract::Incidental gastric and small bowel lesions are commonly encountered during bariatric surgery. Resection of these lesions with negative margins in the same sitting is curative; however, this may necessitate intraoperative change of plan. We present a 44-year-old super obese lady in whom an exophytic jejunal mass was fo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05162-3

    authors: Kumar A,Baksi A,Yadavalli SD,Aggarwal S

    更新日期:2021-01-19 00:00:00

  • Laparoscopic adjustable gastric banding prior to renal transplantation.

    abstract::End-stage renal failure is most commonly caused by the obesity-related diseases, diabetes mellitus and essential hypertension, and is best treated with renal transplantation. Obesity may contribute to poor patient and graft survival, and is an exclusion criterion in some renal transplant programs. Diet and exercise pr...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892053723349

    authors: Newcombe V,Blanch A,Slater GH,Szold A,Fielding GA

    更新日期:2005-04-01 00:00:00

  • Establishing a Reproducible Murine Animal Model of Single Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy (SADl-S).

    abstract::Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a simplified biliopancreatic diversion. The objective of this study was to develop a reproducible animal model for SADI-S. We used three techniques for duodenal exclusion and duodenoileal anastomosis: (a) surgical clip and side-to-side anastomo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3254-4

    authors: Laura M,Mylene L,Christophe B,Boris H,Christophe M,Konstantinos A

    更新日期:2018-07-01 00:00:00

  • Evaluation of pre- and postoperative physical activity participation in laparoscopic gastric banding patients.

    abstract:BACKGROUND:Weight loss outcomes following laparoscopic adjustable gastric banding (LAGB) are widely variable, and physical activity (PA) participation improves these results. The purpose of this study was to retrospectively describe PA behaviors before and after LAGB and to evaluate the impact of PA on weight loss outc...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1283-1

    authors: Browning MG,Baugh NG,Wolfe LG,Kellum JK,Maher JW,Evans RK

    更新日期:2014-11-01 00:00:00

  • 4-Year Changes in Sex Hormones, Sexual Functioning, and Psychosocial Status in Women Who Underwent Bariatric Surgery.

    abstract:BACKGROUND:Initial weight loss after bariatric surgery has been associated with improvements in reproductive hormones and sexual functioning in women. Few studies have investigated the durability of these changes. OBJECTIVES:The objective of this paper is to investigate changes in sex hormones, sexual functioning, and...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-3025-7

    authors: Sarwer DB,Wadden TA,Spitzer JC,Mitchell JE,Lancaster K,Courcoulas A,Gourash W,Rosen RC,Christian NJ

    更新日期:2018-04-01 00:00:00

  • Inversion Technique for the Removal of Partially Covered Self-Expandable Metallic Stents.

    abstract:BACKGROUND AND AIMS:Partially covered self-expandable metallic stents (PCSEMS), although an effective treatment for anastomotic/staple line leaks and strictures, can be difficult to remove. This study examines the effectiveness of the inversion technique for the removal of PCSEMS in the treatment of leaks and stricture...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2811-6

    authors: Hill C,Khalil BK,Barola S,Agnihotri A,Moran RA,Chen YI,Ngamruengphong S,Singh VK,Frame LA,Schweitzer MA,Magnuson TH,Khashab MA,Okolo PI 3rd,Kumbhari V

    更新日期:2018-01-01 00:00:00

  • Systematic review of definitions of failure in revisional bariatric surgery.

    abstract:BACKGROUND:There are no agreed definitions as to what constitutes a 'failure' of the primary bariatric procedure in relation to weight loss. METHODS:The MEDLINE database for primary research articles was searched using obesity [title] or bariatric [title] and revision [title] or revisional [title]. RESULTS:The MEDLIN...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-014-1541-2

    authors: Mann JP,Jakes AD,Hayden JD,Barth JH

    更新日期:2015-03-01 00:00:00

  • Validity and Clinical Utility of Subtyping by the Beck Depression Inventory in Women Seeking Gastric Bypass Surgery.

    abstract:BACKGROUND:The Beck Depression Inventory (BDI) is commonly used in the screening and evaluation process with bariatric surgery candidates despite relatively limited psychometric evidence in this patient group. We examined the validity of the BDI and its clinical utility for subtyping women seeking gastric bypass surger...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2047-x

    authors: Ivezaj V,Barnes RD,Grilo CM

    更新日期:2016-09-01 00:00:00

  • 30-day readmission rates at a high volume bariatric surgery center: laparoscopic adjustable gastric banding, laparoscopic gastric bypass, and vertical banded gastroplasty-Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Recent studies suggest that weight loss operations may actually increase the costs to society due to increased hospital readmission rates. The purpose of this study was to determine the 30-day readmission rates following bariatric operations at a high volume bariatric surgery program. METHODS:Records for al...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9210-3

    authors: Saunders JK,Ballantyne GH,Belsley S,Stephens D,Trivedi A,Ewing DR,Iannace V,Capella RF,Wasielewski A,Moran S,Schmidt HJ

    更新日期:2007-09-01 00:00:00

  • Avoiding complications after laparoscopic esophago-gastric banding: experience with 400 consecutive patients.

    abstract:BACKGROUND:Among bariatric operations, laparoscopic adjustable gastric banding (LAGB) has been the preferred one in Europe and Australia, and has become recently popular in the USA. Like every surgical procedure, however, it is not devoid of specific complications, like slippage, band erosion, outlet obstruction and po...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206778392329

    authors: Boschi S,Fogli L,Berta RD,Patrizi P,Di Domenico M,Vetere F,Capizzi D,Capizzi FD

    更新日期:2006-09-01 00:00:00

  • Biomarkers of Colorectal Cancer Risk Decrease 6 months After Roux-en-Y Gastric Bypass Surgery.

    abstract:PURPOSE:The impact of weight loss on obesity-related colorectal cancer (CRC) risk is not well defined. Previous studies have suggested that Roux-en-Y gastric bypass (RYGB) surgery may have an unexpected adverse impact on CRC risk. This study aimed to investigate the impact of RYGB on biomarkers of CRC risk. MATERIALS ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2953-6

    authors: Afshar S,Malcomson F,Kelly SB,Seymour K,Woodcock S,Mathers JC

    更新日期:2018-04-01 00:00:00

  • Early clinical and surgical results of biliopancreatic diversion.

    abstract:BACKGROUND:Scopinaro biliopancreatic diversion (BPD) for morbid obesity results in significant longterm weight loss and reduction or resolution of obesity-associated co-morbidities. The aim of our work was to describe the early results after BPD. METHODS:59 morbidly obese patients (BMI >40) underwent open BPD from Dec...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892054222740

    authors: de Luis DA,Pacheco D,Izaola O,Romero A,Marcos JL,Pelaz J,Barrera A,Cabezas G,Terroba MC,Cuellar L,Anta A

    更新日期:2005-06-01 00:00:00

  • A meta-analysis: to compare the clinical results between gastric bypass and sleeve gastrectomy for the obese patients.

    abstract::We attempted to compare the effects of two kinds of surgery for obesity: laparoscopic gastric bypass (LGB) and laparoscopic sleeve gastrectomy (LSG). We performed an electronic literature search of published articles relating to obesity surgery since inception to July 2012, in which LGB was compared with LSG for patie...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11695-013-0938-7

    authors: Yang X,Yang G,Wang W,Chen G,Yang H

    更新日期:2013-07-01 00:00:00

  • Routine abdominal drains after laparoscopic sleeve gastrectomy: a retrospective review of 353 patients.

    abstract::Complications after laparoscopic sleeve gastrectomy (LSG) are usually silent and difficult to interpret. Our purpose was to evaluate the utility of routine placement of intraperitoneal drains at the end of LSG in detection and management of postoperative complications. This is a retrospective study of all patients tha...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0343-4

    authors: Albanopoulos K,Alevizos L,Linardoutsos D,Menenakos E,Stamou K,Vlachos K,Zografos G,Leandros E

    更新日期:2011-06-01 00:00:00

  • Trends in Bariatric Surgery: Procedure Selection, Revisional Surgeries, and Readmissions.

    abstract:BACKGROUND:There are limited data quantifying national trends, post-operative readmissions, and revisional surgeries for bariatric procedures. We hypothesized that there is a trend away from Roux en Y gastric bypass (RYGB) and laparoscopic adjustable gastric bands (LAGB) in favor of vertical sleeve gastrectomies (VSG)....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1974-2

    authors: Abraham A,Ikramuddin S,Jahansouz C,Arafat F,Hevelone N,Leslie D

    更新日期:2016-07-01 00:00:00

  • Laparoscopic Roux En Y Esophago-Jejunostomy for Chronic Leak/Fistula After Laparoscopic Sleeve Gastrectomy.

    abstract:BACKGROUND:Leak following laparoscopic sleeve gastrectomy (LSG) is one of the most serious and devastating complications. Endoscopic stents can treat most early LSG leaks, but is not as effective for chronic LSG leaks/fistulae. The surgical options to treat a chronic leak/fistula after LSG are laparoscopic Roux en Y es...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-2018-7

    authors: Mahmoud M,Maasher A,Al Hadad M,Salim E,Nimeri AA

    更新日期:2016-03-01 00:00:00

  • Waist circumference is useless to assess the prevalence of metabolic abnormalities in severely obese women.

    abstract:BACKGROUND:The present retrospective study aims to provide additional evidence supporting the fact that waist circumference, in severe obesity, is not a good clinical marker to identify individuals with the metabolic syndrome or an altered metabolic profile. METHODS:Relationships between waist circumference and metabo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9168-1

    authors: Drapeau V,Lemieux I,Richard D,Bergeron J,Tremblay A,Biron S,Marceau P,Mauriège P

    更新日期:2007-07-01 00:00:00

  • Utilization of intensive care resources in bariatric surgery.

    abstract:BACKGROUND:Obese patients occasionally require either elective or emergency critical care services following bariatric surgery. We describe this subgroup of patients. METHODS:From July 1, 1991 to July 31, 2004, we performed 1,279 bariatric operations; 241 (19%) required admission to the surgical critical care service....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089205774512681

    authors: Cendán JC,Abu-aouf D,Gabrielli A,Caruso LJ,Rout WR,Hocking MP,Layon AJ

    更新日期:2005-10-01 00:00:00

  • A Study on Predicting Weight Loss Following Surgical Treatment for Obesity.

    abstract::To date, longitudinal weight loss analyses (curve-fitting) have been complicated by non-linear weight patterns, incomplete follow-up, and varied follow-up times. Therefore, the cross-sectional design (one time point survey) was chosen to study predictors of weight loss at yearly postoperative time intervals (+/- 6 mon...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089294765558863

    authors: Jeng G,Renquist K,Doherty C,Mason EE

    更新日期:1994-02-01 00:00:00

  • All-Cause Mortality of Patients With and Without Diabetes Following Bariatric Surgery: Comparison to Non-surgical Matched Patients.

    abstract:OBJECTIVE:Data are sparse regarding the survival benefit of bariatric surgery on mortality among persons with diabetes. We aimed to investigate the association of bariatric surgery, compared with usual care, on all-cause mortality in individuals who underwent surgery and matched controls, stratified by the presence of ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05068-0

    authors: Dicker D,Greenland P,Leibowitz M,Hoshen M,Senderey AB,Rasmussen-Torvik LJ,Balicer RD,Reges O

    更新日期:2020-11-05 00:00:00

  • Monitoring of Liver Function Tests after Roux-en-Y Gastric Bypass: An Examination of Evidence Base.

    abstract::There is no consensus on the monitoring of liver function tests after Roux-en-Y gastric bypass (RYGB). Since the main objective of such monitoring would be to diagnose early those who will eventually develop liver failure after RYGB, we performed a systematic review on this topic. An extensive search of literature rev...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-016-2280-3

    authors: Mahawar KK,Parmar C,Graham Y,De Alwis N,Carr WR,Jennings N,Small PK

    更新日期:2016-10-01 00:00:00

  • A comparative study of three-year weight loss and outcomes after laparoscopic gastric bypass in patients with "yellow light" psychological clearance.

    abstract::The relationship between psychological factors and bariatric surgical outcomes is unclear. While some psychological contraindications to bariatric surgery are described, there is no consensus on preoperative psychological evaluation or on factors that can predict bariatric outcomes. Our aim was to determine whether fu...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-013-1142-5

    authors: Won EJ,Tran TT,Rigby A,Rogers AM

    更新日期:2014-07-01 00:00:00

  • Morbidity in patients with or at high risk for obstructive sleep apnea after ambulatory laparoscopic gastric banding.

    abstract::Considerable controversy exists about the perioperative management of patients at high risk for obstructive sleep apnea (OSA) in free-standing clinics. Eighty-eight percent of an American Society of Anesthesiologists expert panel felt that upper abdominal laparoscopic surgery could not be performed safely on an outpat...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0381-6

    authors: Kurrek MM,Cobourn C,Wojtasik Z,Kiss A,Dain SL

    更新日期:2011-10-01 00:00:00

  • The diagnostic accuracy of transient elastography for the diagnosis of liver fibrosis in bariatric surgery candidates with suspected NAFLD.

    abstract:BACKGROUND:Severe obesity and metabolic syndrome have been implicated in the development of nonalcoholic fatty liver disease (NAFLD). We evaluated the diagnostic value of liver stiffness measurement (LSM), by transient elastography (FibroScan®) in bariatric surgery candidates with suspected NAFLD. METHODS:A total of 1...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s11695-014-1235-9

    authors: Naveau S,Lamouri K,Pourcher G,Njiké-Nakseu M,Ferretti S,Courie R,Tranchart H,Ghinoiu M,Balian A,Prévot S,Perlemuter G,Dagher I

    更新日期:2014-10-01 00:00:00